How do you measure temperatures?

  1. 1 The unit that I work in is a mixed ICU. We currently measure temps axillary-- which literature says is inaccurate. We have trialed tempanic thermometers with very iffy results. Some of the other units in the hospital use temporal thermometers, and staff complain of inaccurate results with them as well.

    We are looking to change our practice, and are willing to spend money.

    My vote is to do esophageal temps on the monitor for all intubated patients, and do oral temps on non-intubated patients. What do you think?

    How does your unit measure temperatures?
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  3. Visit  EMSnut45 profile page

    About EMSnut45, ADN, RN, EMT-P

    EMSnut45 has '13 years in EMS, 6' year(s) of experience and specializes in 'ICU and EMS'. From 'Maryland'; 29 Years Old; Joined Mar '07; Posts: 256; Likes: 638.

    17 Comments so far...

  4. Visit  meandragonbrett profile page
    1
    Bladder temps and PA cath temps. Otherwise oral.
    Esme12 likes this.
  5. Visit  detroitdano profile page
    0
    Bladder or oral. Axillary is a last resort.
  6. Visit  Da_Milk_of_Amnesia profile page
    0
    Should be bladder or oral, Esophagus would be great too....However I happen to love when we use our cooling blankets and have a rectal probe in, and the machine cools the patient down to a set temp.
  7. Visit  detroitdano profile page
    0
    Anyone using the Alsius units? I've never had to use one yet but I know neuro uses them from time to time.
  8. Visit  flo136 profile page
    0
    Hi
    Sarah in Adelaide, Australia here
    We started using Alsius units 8 months ago.
    Fantastic.
    Look like a central femoral line.
    Do a great job.
    Easy to use. Nice little dial to see the fluid running through that you have to check.
    It sure beats the air blankets and coool gel underblankets we used to use.
    But we still don't use them much (We only have 2 I think).
    Mainly for hypothermia to 32 celcius post cardiac arrest for 24 hours.
  9. Visit  Darkfield profile page
    1
    monotherm foley caths. Unless you've got a freak ICU pt that doesn't need a foley (that happens) or someone with a 3way, it's the way to go.
    nursgirl likes this.
  10. Visit  RN1980 profile page
    5
    back of my hand to pt's forehead.
  11. Visit  EMSnut45 profile page
    3
    Quote from RN1980
    back of my hand to pt's forehead.
    Hahaha!!! I love it!!!

  12. Visit  xx--RN--xx profile page
    1
    Quote from RN1980
    back of my hand to pt's forehead.
    LOL..
    ...or 0.2 degrees higher or lower from the last temp recorded....that way, you don't have to actually go in the room.







    JK
    Esme12 likes this.
  13. Visit  qcumba profile page
    0
    We use axillary temps on most of our patients, Bladder temps on our open hearts and our very untstable pyrexial patients get rectal temp probes which connect to our monitors
  14. Visit  esie profile page
    0
    We use a bladder temperature line to the minitot for pts with an IDC with a temp attachment; naso-oesophageal temp line to the monitor on cardiac surg pts & pts without IDC temp attachment; and generally a themometer auxially or femorally otherwise.
  15. Visit  Teleflurry profile page
    0
    Tympanic works fine.
    Bladder or rectal for PTs on cooling blanket.


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